Authority | WAC and Rule Title | CR-101 WSR # | CR-102 WSR # | CR-103 WSR # | CR-105 WSR # | Program Contact |
SBOH | Local board of health composition. Implements the requirements of ESHB 1946. Amending chapter 246-90 WAC to clarify timelines for which local boards of health must include tribal representatives on local boards of health and ensure a balanced mix of elected and nonelected members. | 25-19-045 | Anticipate filing | Molly Dinardo 564-669-3455 | ||
SBOH | Notifiable conditions. Updating the COVID-19 reporting requirements in chapter 246-101 WAC while maintaining necessary data for disease surveillance. | 25-08-026 | Anticipate filing | Molly Dinardo 564-669-3455 | ||
SBOH | Water recreation facilities. Updates and consolidates chapters 246-260 and 246-262 WAC, related to water recreation facilities and recreational water contact facilities and improves alignment with the Centers for Disease Control and Prevention model aquatics health code. | 17-01-048 | Anticipate filing | Ashley Noble 360-236-3736 Ashlie Laydon ashlie.laydon@doh.wa.gov | ||
SBOH | Onsite sewage systems setbacks. Amendments to WAC 246-272A-0210 to address minimum horizontal separations for surface water setbacks. Rule making may also address other technical and editorial changes. | Anticipate filing | Shay Bauman 564-669-8929 Kseniya Efremova 360-236-3449 | |||
SBOH | Group A public water systems. Potential rule making to consider adopting a state action level or state maximum containment level for fluoride in chapter 246-290 WAC. | Anticipate filing | Shay Bauman 564-669-8929 Kseniya Efremova 360-236-3449 | |||
SBOH | Dogs and microbreweries with contract kitchens. Creating new rules in Title 246 WAC. | Anticipate filing | Ash Noble 360-236-3736 |
Authority | WAC and Rule Title | CR-101 WSR # | CR-102 WSR # | CR-103 WSR # | CR-105 WSR # | Program Contact |
Board of Hearing and Speech | Hearing aids. Amends WAC 246-828-025, 246-828-090, 246-828-095, 246-828-100, and 246-828-330, regarding prescription hearing aid requirements for initial fitting and hearing tests and adds a new section addressing telehealth standards and requirements. | 25-12-078 | Anticipate filing | Kim-Boi Shadduck 360-236-2912 | ||
Board of Massage | Massage licensure standards. Amends WAC 246-830-035 Licensing by endorsement for out-of-state applicants. | 23-07-064 | Anticipate filing | Sabine Meuse 360-878-7466 | ||
Board of Massage | Online education for massage therapists. Amends WAC 246-830-430 Education and training, to include parameters on online and virtual education and add health equity awareness training to initial licensure requirements for new massage licensees. | 23-12-002 | Anticipate filing | Sabine Meuse 360-878-7466 | ||
Board of Nursing | Nursing assistant rules. Amends chapter 246-841A WAC to implement skills testing in training programs, make changes to the specialty curricula rule requirements, and other related rules as appropriate. The board will also consider updates to this chapter resulting from legislation passed in the 2025 legislative session. | 25-05-087 | Anticipate filing | Jessilyn Dagum 360-236-3538 | ||
Board of Nursing | Registered nurse (RN) and licensed practical nurse (LPN) chapter update. Amends WAC 246-840-015 through 246-840-260 for RN and LPN licensing and continuing competency rules to clarify and update outdated language, rewrite and reformat existing rules to reflect current best practices, and restructure sections as necessary, as part of the board's five-year formal rule review process in accordance with RCW 43.70.041, Phase 1. | 24-24-011 | 25-20-086 | Anticipate filing | Jessilyn Dagum 360-236-3538 | |
Board of Nursing | Advanced practice and pain management chapter update. Amends WAC 246-840-010 and 246-840-300 through 246-840-4990 for advanced practice and pain management rules conducted in accordance with the board's five-year formal rule review process under RCW 43.70.041, Phase 2. | 25-15-033 | Anticipate filing | Jessilyn Dagum 360-236-3538 | ||
Board of Nursing | Nursing education programs. Changes to chapter 246-840 WAC rewrite. Considering amendments to the nursing education requirements and minimum standards in WAC 246-840-500 through 246-840-571. Conducted in accordance with the board's five-year formal rule review process under RCW 43.70.041, Phase 3. | 26-01-020 | Jessilyn Dagum 360-236-3538 | |||
Board of Nursing | Washington health professional services (WHPS) to Cares program change. Proposing technical changes to the board's approved substance use disorder monitoring program, WHPS, and reference in chapter under WAC 246-840-750 through 246-840-790. | Anticipate filing | Jessilyn Dagum 360-236-3538 | |||
Board of Psychology | Psychology and AI. Considering amendments in chapter 246-924 WAC, Psychologists, to regulate the use of AI and other developing technologies within the practice of psychology in Washington state. | Anticipate filing | Nancy Delgado 360-236-4951 | |||
Board of Osteopathic Medicine and Surgery | Osteopathic physician continuing education (CE) requirements. Considering amending WAC 246-853-080 to update the osteopathic physician CE requirements and specify that maintaining a certification program may satisfy CE requirements. | 25-23-017 | Becky Cornwall 360-236-4766 | |||
Chiropractic Quality Assurance Commission | Chiropractor credentialing. Amends WAC 246-808-010, 246-808-105 through 246-808-140, 246-808-180 through 246-808-190, 246-808-510, 246-808-535, and 246-808-801 through 246-808-830 to address chiropractic credentialing requirements. | 23-05-053 | Anticipate filing | Betty Moe 360-764-6251 | ||
Chiropractic Quality Assurance Commission | Classification of chiropractic procedures and instrumentation. Amends WAC 246-808-505 to better align the rule language with statutory language and to modernize and streamline current language. | 25-10-041 | Anticipate filing | Betty Moe 360-764-6251 | ||
Dental Quality Assurance Commission | Dental licensure without exam. Amends WAC 246-817-135 and 246-817-160 to clarify clinical and didactic education and training requirements for foreign-trained dentists and graduates of nonaccredited schools or programs. | 24-15-022 | Anticipate filing | Debbie Gardner 360-236-4277 | ||
Dental Quality Assurance Commission | Examination content. Amends WAC 246-817-120 to update testing agency names. | Anticipate filing | Debbie Gardner 360-236-4277 | |||
Dental Quality Assurance Commission | Dental interstate compact. Adds new section(s) to chapter 246-817 WAC to implement provisions of ESHB 1576 (chapter 297, Laws of 2023), codified as chapter 18.33 RCW, which creates a new interstate compact for dentists and gives member states the discretion to charge a fee. | 24-21-097 | Anticipate filing | Debbie Gardner 360-236-4277 | ||
Dental Quality Assurance Commission | Dental sedation CE. Amends WAC 246-817-773, continuing education for dentists administering sedation, to ensure clear continuing education requirements. | 24-21-038 | 25-24-079 | Anticipate filing | Debbie Gardner 360-236-4277 | |
DOH | Washington healthcare emergency and logistics tracking hub (WA HEALTH) statewide emergency and logistics tracking system. Amends Title 246 WAC to require acute care hospitals licensed under chapter 70.41 RCW and behavioral health facilities to report hospital data to the department through WA HEALTH. | 24-03-126 | Tyler Nowlan 360-790-1453 | |||
DOH | Suicide prevention. Amends chapter 246-12 WAC to establish in rule the minimum standards for advanced suicide prevention trainings for certain professions as required by ESHB 2411. | 21-04-054 | Anticipate filing | Kelsey Cato 564-669-1196 | ||
DOH | Administrative Procedure Act. Amends chapter 246-12 WAC with respect to DOH's process of emailing renewal notices instead of mailing them. | Anticipate filing | Stacey Saunders 360-236-2813 | |||
DOH | Medical cannabis product compliance. Amends chapter 246-70 WAC to update the term "marijuana" to "cannabis," to examine the definition of a compliant product, to review compliant product labeling, and to align quality assurance standards with the Washington state liquor and cannabis board. | 22-23-001 | Anticipate filing | Annie Kause 360-236-2940 | ||
DOH | X-ray in healing arts. Considering amending chapter 246-225 WAC existing rules and creating new rules to address advancements in technology for radiation therapy, fluoroscopic X-ray, and plan review shielding requirements. | 24-03-137 | Anticipate filing | Ashlie Laydon ashlie.laydon@doh.wa.gov Richard Montemarano 360-236-3238 | ||
DOH | Updating contact information for radiation protection. Amendments to WAC 246-243-205 and 246-222-080 to update outdated contact information. Rule making may also include other editorial updates to align with the federal Nuclear Regulatory Commission regulations. | Anticipate filing | Brian Sayrs 564-669-3188 | |||
DOH | Radionuclide air emissions. Update publication date of federal rules adopted by reference in WAC 246-247-035. Rule making may also include other editorial updates to align with the federal Nuclear Regulatory Commission regulations. | Anticipate filing | Brian Sayrs 564-669-3188 | |||
DOH | On-site nonpotable water systems. Considering establishing a new chapter 246-275 WAC for on-site nonpotable water systems. | 24-09-067 | Anticipate filing | Kseniya Efremova 360-236-3449 | ||
DOH | Consumer confidence reports for public drinking water systems. Incorporating federal rule within chapter 246-290 WAC, Part 7, Subpart B, to align with recent changes to the national primary drinking water regulation regarding consumer confidence reports. DOH is requesting delegated authority from SBOH. | Anticipate filing | Brian Sayrs 564-669-3188 | |||
DOH | Lead and copper in public drinking water systems. Incorporating by reference federal rule within chapter 246-290 WAC to align with recent changes to the national primary drinking water regulation regarding lead and copper. DOH is requesting delegated authority from SBOH. | Anticipate filing | Zehra Siddiqui 360-236-3010 | |||
DOH | Certificate of need nursing home in-home kidney dialysis services. Considering a new section of chapter 246-310 WAC to establish requirements for nursing homes to provide in-home dialysis services under the certificate of need program. | 25-22-023 | Eric Hernandez 360-236-2955 | |||
DOH | Certificate of need—Review fees. Amendments to update certificate of need review fees, updates fees in WAC 246-310-990 and may consider changes to clarify and standardize language. | 25-17-069 | Anticipate filing | Heather Cantrell 360-236-4637 | ||
DOH | Hospital price transparency requirements. Considering adding definitions to WAC 246-320-010 and creating a new section in chapter 246-320 WAC to provide clarity and direction related to hospital price transparency requirements. | 25-23-011 | Anticipate filing | Tiffani Buck 564-233-1121 | ||
DOH | Behavioral health hospitals. Updating chapter 246-322 WAC to "Behavioral health hospitals," and adding rules from chapter 246-324 WAC. Repealing chapter 246-324 WAC, Private alcohol and chemical dependency hospitals. | Anticipate filing | Dan Overton 360-236-2953 | |||
DOH | Birthing centers—Inspections for accredited centers. Considering amendments to chapter 246-329 WAC to implement SHB 1824 (chapter 69, Laws of 2025), to reduce the frequency of audits and authority to inspect state licensure surveys, aligning standards with applicable accrediting body that are substantially equivalent. | 25-20-068 | Anticipate filing | John Hilger 360-236-2929 | ||
DOH | Birthing centers—Facility fees. Considering rule amendments to update the fee and fee structure for birthing centers, WAC 246-329-990. DOH may also consider changes to clarify and standardize language. | 25-16-077 | 25-24-078 | Anticipate filing | John Hilger 360-236-2929 | |
DOH | Uniform facility enforcement framework and background check standardization for ambulatory surgical facilities (ASF), in-home services (IHS) agencies, residential treatment facilities, and behavioral health agencies. Amends rules and establishes new sections in chapters 246-330, 246-335, 246-337, and 246-341 WAC in response to ESSB 5271 (chapter 121, Laws of 2024). DOH will also consider standardizing background check requirements for these facility types. | 25-17-068 | Julie Tomaro 360-236-2937 | |||
DOH | ASFs. Considering amendments to chapter 246-330 WAC as related to construction review services. | Anticipate filing | John Hilger 360-236-2929 | |||
DOH | IHS agencies—Fee updates. Washington DOH is considering rule amendments to update fees for IHS agencies and to clarify and standardize language in WAC 246-335-990. | 25-08-070 | 25-24-044 | Anticipate filing | Heather Cantrell 360-236-4637 | |
DOH | 23-Hour crisis relief centers (CRC) for minors in Washington state. Updates chapter 246-341 WAC including, but not limited to, WAC 246-341-0903 to implement E2SSB 5853 (chapter 367, Laws of 2024), an act relating to extending CRC model to provide behavioral health crisis services for minors. | 24-13-112 | 25-16-075 | Dan Overton 360-236-2953 | ||
DOH | Temporary worker housing. Amendments in chapters 246-358 and 246-359 WAC to clarify language, fix typos, align with code reviser's Bill Drafting Guide, and repeal obsolete rules. DOH will coordinate potential rule making with the department of labor and industries. | Anticipate filing | Zehra Siddiqui 360-236-3010 | |||
DOH | Private detention facilities. Considering creating a new chapter 246-385 WAC to set operational health and safety standards for private detention facilities. Pursuant to E2SHB 1232 and chapter 70.395 RCW. | 23-23-079 | Kseniya Efremova 360-236-3449 | |||
DOH | Private detention facilities for juveniles. Considering establishing operational, health, and safety standards in Title 246 WAC for private detention facilities serving juveniles and creating a severity matrix for fines related to private detention facility enforcement to implement ESHB 1232 (chapter 235, Laws of 2025). | 25-19-069 | Kseniya Efremova 360-236-3449 | |||
DOH | Hospital charity care. Amends chapter 246-453 WAC to implement new requirements in SSB 6273 (chapter 623, Laws of 2018) and SHB 1616 (chapter 197, Laws of 2022), which update definitions, income eligibility, and discounts for the program. DOH may also add a new section to address requirements for clarity and conciseness. | 22-20-069 | Anticipate filing | Carrie Baranowski 360-236-4210 | ||
DOH | Rapid health information network data reporting requirements, including a fee. Creates new chapter 246-460 WAC to formally establish the requirements for submitting data, including method and timeliness of transmission, address errors, release data, and establish a fee for nonstandard reporting from researchers. | 25-17-001 | Anticipate filing | Cynthia Harry 206-472-4530 | ||
DOH | Vital records. Amends, repeals, and creates new rules in chapter 246-490 WAC, Vital statistics, and chapter 246-491 WAC, Vital statistics—Certificates. The rules may establish registration and amendment requirements for vital records; update or add program processes to align with statutory changes; adopt fees associated with amendment and delayed birth applications; add or adjust fees associated with the issuance of certifications and informational copies; add or remove data items collected in a vital record; expand use of electronic registration of a vital event; make editorial and technical changes to align with statutory changes; and repeal obsolete sections of rule. | 23-04-062 | Anticipate filing | Kelly Thomson 360-236-2274 | ||
DOH | Vital records birth certification fee waiver. Amends WAC 246-491-350 to implement a new birth certificate fee waiver process authorized by SSB 5030. | 25-14-024 | Anticipate filing | Kelly Thomson 360-236-2274 | ||
DOH | Farmers market nutrition program. Amends chapter 246-780 WAC to implement SSB 5214 and allow mobile markets to participate in the farmers market nutrition program. | 25-12-055 | 26-01-109 | Anticipate filing | Karen Mullen 360-515-8279 Me'Kyel Bailey 360-764-9161 | |
DOH | Occupational English test for acupuncture and Eastern medicine. Amends WAC 246-803-240 and 246-803-130. | 25-04-007 | Anticipate filing | Adriana Barcena 360-236-4865 | ||
DOH | Cooccurring disorder specialist (CODS) enhancement. Amends chapter 246-804 WAC to update curriculum standards, develop application processes, and clarify definitions for the CODS enhancement program. | 25-13-086 | Anticipate filing | Claire Wilson 564-669-0392 | ||
DOH | Applied behavior analysis continuing supervision and educational programs. In consultation with the Washington state applied behavior analysis advisory committee, considering amendments to WAC 246-805-210, 246-805-240, and 246-805-330 to remove barriers for education and update the requirements for continuing supervision for certified behavior technicians and licensed assistant behavior analysts. | 25-20-070 | Shelbee Scrimo 360-236-4723 | |||
DOH | Silver diamine fluoride. Amends WAC 246-814-020 Practices authorized, and 246-814-030 Application process and documentation of training required for endorsement. Updates dental hygienist and dental assistant usage of silver diamine fluoride and participation in regional health coalition meetings. | 25-04-089 | Anticipate filing | Kitty Einert 360-236-4843 | ||
DOH | Dental hygienists' infection control. Amends chapter 246-815 WAC. | Anticipate filing | Kitty Einert 360-236-4843 | |||
DOH | Dental hygienist compact. Establishes new section(s) of rule in chapter 246-815 WAC to implement ESHB 1576 (chapter 297, Laws of 2023), codified as chapter 18.33 RCW, which creates a new interstate compact for dental hygienists and gives member states the discretion to charge a fee for granting compact privileges. | 24-21-056 | Anticipate filing | Kitty Einert 360-236-4843 | ||
DOH | Dental hygienists' CE. Amend WAC 246-815-140. | Anticipate filing | Kitty Einert 360-236-4843 | |||
DOH | Dental therapy sedation. Adding requirements to chapter 246-819 WAC. | Anticipate filing | Kitty Einert 360-236-4843 | |||
DOH | Dental therapy scope of practice. Adding requirements to chapter 246-819 WAC. | Anticipate filing | Kitty Einert 360-236-4843 | |||
DOH | Midwifery licensure requirements; removing jurisprudence examination. Considering amendments to WAC 246-834-050 and 246-834-060 to remove jurisprudence exam requirements for midwives to reduce barriers to licensure. | 25-19-055 | Kathy Weed 360-236-4883 | |||
DOH | Radiologic imaging professionals—Fee error. Proposing rule amendments to WAC 246-926-990 correcting a typographical error in the application fee rules for X-ray technicians. | Anticipate filing | 25-23-010 | Tommy Simpson III 564-669-8421 | ||
DOH | Sex offender treatment provider (SOTP) chapter rewrite. Amends chapter 246-930 WAC based on recommendations from the newly established SOTP advisory committee. | 22-04-057 | Anticipate filing | Ted Dale 360-236-2991 | ||
DOH | Emergency medical responder (EMR) or emergency medical technician (EMT) training courses. Considering amending WAC 246-976-022 and 246-976-041 to expand initial enrollment for EMR and EMT training to students who are 16 years of age. Consideration is in response to HB 1722 (chapter 98, Laws of 2025). Other amendments to sections or adding a new section in chapter 246-976 WAC may also be considered to address this specific topic. | 25-21-026 | Dawn Felt 360-236-2842 | |||
DOH | Trauma rehabilitation service standards. Considering amending WAC 246-976-800, the standards that define what a designated trauma rehabilitation service must have. | Anticipate filing | Tim Orcutt 360-236-2874 | |||
DOH | Home care aide basic training standardization. Standardizing basic training requirements and exemptions for certification for SHB 1142. Amending chapter 246-980 WAC. | 25-20-069 | Anticipate filing | Jenni Osbun 360-236-2737 | ||
Pharmacy Quality Assurance Commission | Transfer practices for a dispensed prescription drug for the purpose of redispensing or subsequent administration to a patient. Amends chapter 246-945 WAC regarding alternate distribution models for a dispensed prescription drug for redispensing or subsequent administration to a patient. | 23-20-115 | 25-18-070 | Anticipate filing | Joshua Munroe 360-502-5058 | |
Pharmacy Quality Assurance Commission | Clarifying the utilization of pharmacy ancillary personnel. Amends WAC 246-945-001, 246-945-315, 246-945-317, and 246-945-320; and potentially adding a new section in chapter 246-945 WAC to clarify the utilization of pharmacy ancillary personnel and technology within the pharmacy. | 24-18-032 | Anticipate filing | Haleigh Mauldin 360-890-0720 | ||
Pharmacy Quality Assurance Commission | Tamper-resistant prescription pads and paper. Considering establishing a new section(s) in chapter 246-945 WAC and amending WAC 246-945-010 to regulate tamper-resistant prescription pads and paper information, including industry-recognized security features and their approval process. | 25-21-079 | Julia Katz 360-791-1167 | |||
Pharmacy Quality Assurance Commission | Prescription labeling accessibility rules. Considering amending WAC 246-945-015 and 246-945-026 through 246-945-029 to refine the standards for dispensing practitioners and facilities subject to the commission's prescription labeling accessibility rules. | 25-23-064 | Joshua Munroe 360-502-5058 | |||
Pharmacy Quality Assurance Commission | Pharmacy registration for mobile opioid treatment program units. Amends WAC 246-945-060 and 246-945-250; and adds new sections in chapter 246-945 WAC to exempt mobile opioid treatment program (OTP) units from having to obtain separate registrations when covered under the OTP site's controlled substance registration. Develops more comprehensive facility requirements for analytical laboratories and dog handlers among other facilities that are licensed under the other controlled substance registration. | 23-18-046 | Anticipate filing | Haleigh Mauldin 360-890-0720 | ||
Pharmacy Quality Assurance Commission | Pharmaceutical firm reporting time frames. Amends WAC 246-945-231 with respect to adding a time frame for pharmaceutical firms to report disciplinary action to the commission. | 25-15-162 | 25-21-027 | Anticipate filing | Julia Katz 360-791-1167 | |
Pharmacy Quality Assurance Commission | Ancillary utilization plans (AUP) for pharmacies. Considering amending WAC 246-945-410 to clarify that only pharmacies may submit an AUP, per RCW 18.64A.040 and 18.64A.060, for approval by the commission to utilize pharmacy ancillary personnel as defined in RCW 18.64A.010(5). | 25-22-008 | Joshua Munroe 360-502-5058 | |||
Pharmacy Quality Assurance Commission | Medication assistance. Expanding the types of actions allowed for nonpractitioners providing medication assistance services. Amending WAC 246-945-714 following the passage of SHB 1720 (chapter 26, Laws of 2025). | 25-16-045 | 25-23-066 | Anticipate filing | Joshua Munroe 360-502-5058 | |
Veterinary Board of Governors | Veterinarian telehealth requirements. Updating telehealth requirements in chapter 246-933 WAC to establish a veterinarian-client-patient relationship. | 25-21-129 | Poppy Budrow 564-669-0026 | |||
Veterinary Board of Governors | Veterinary technician examination requirements. Updating eligibility requirements in WAC 246-935-060. | 25-21-093 | Poppy Budrow 564-669-0026 | |||
Veterinary Board of Governors | Animal health care tasks for and supervision of veterinary technicians and veterinary medication clerks. Amends WAC 246-935-010 Definitions, 246-935-050 Animal health care tasks, 246-935-040 Responsibilities of a veterinarian supervising a licensed veterinary technician or unregistered assistant, and 246-937-010 Definitions. | 23-18-060 | 25-21-126 | Anticipate filing | Poppy Budrow 564-669-0026 | |
Washington Medical Commission | Collaborative drug therapy agreements. New sections in chapters 246-918 and 246-919 WAC regarding collaborative drug therapy agreements. | 20-16-008 | Amelia Boyd 360-918-6336 | |||
Washington Medical Commission | Nitrous oxide in office-based settings. Establishing requirements under WAC 246-919-601 concerning safe and effective analgesia and anesthesia administration. New WAC 246-919-603, concerning the use of nitrous oxide in office-based settings. | 24-11-104 | 25-14-080 Rescinded, filed under 26-01-032 Anticipate filing new CR-102 | Amelia Boyd 360-918-6336 | ||
Washington Medical Commission | Opioid prescribing. Amends the following opioid prescribing rules to modernize the language, add clarity, and brings the rules more in line with current practice: Amends allopathic physicians (MD) WAC 246-919-850 through 246-919-985 and physician assistant (PA) WAC 246-918-800 through 246-918-935. | 25-10-039 | Anticipate filing | Amelia Boyd 360-918-6336 | ||
Washington Medical Commission | MD chapter review. Considering amendments to WAC 246-919-010 through 246-919-520 and 246-919-602 through 246-919-700, to consider modernizing language, add clarity, and bring the rules more in line with current practice. | 25-12-014 | Amelia Boyd 360-918-6336 | |||
Washington Medical Commission | Anesthesiologist assistants (AA). Considering amendments to WAC 246-921-125(3) for renewal, continuing medical education cycle, and maintenance of licensure. Considering amending subsection (3) only by changing "second" to "first" to make the AA renewal consistent with the PA renewal rules. | Anticipate filing | Amelia Boyd 360-918-6336 |